597 o'2ogS0 P R EE LANE LOT No. 91
P�jATT�IlFAPPLIANCE PERMIT
3�'1y 1 CUPERTINO
Date CI10031 'IIDr.nrl,n�(..,__ Permit No.
f Pres`. 1. 50
d Application is hereby made to the City,of.Cupertino for a permit to install
C� gas appliances as listed on the reverse side }iereof, and agrees to install said
d appliances in accordance with the provisiol%s,of the Plumbing :ode of the City
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of Cupertino, and all other laws applicable`hereto.
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Use of Premises rPridPnr.a' ti '
17 Owner COMMONWEALTH RIM) 9 Address r'AtsyRr. --
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`.:---•,r--- PLUMBING INSPECT
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( � GAS SERVICE U; CE �PiE
BUILDING INSPI'CTOR •,I;CI's • •'
CITY OUI'CR NO'll.
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Ow. You are hereb' uthorized to connect the GAS
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ner or Tenant'_ �..i2------
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ew ,ice ...Z ------------
No. of Meters ..... .:.
....... Itccorinect
Move Service --------..._..........'v
f No. of Add. Meters .............. T`; . Move'Meter .......... .. •'-
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PLUMBING`INSPECTORy,.�
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